Employment Application

How / where did you hear about this position? (ie newspaper / internet, etc.)

Ideally, how many hours a week do you want to work?

What is the shortest shift you would be willing to work?

1-2 hrs

2-3 hrs

3-4 hrs

4 hrs or more

Which hours are you available to work? (please select all that apply)

Morning (7am-10am)

Daytime (10am-3pm)

Evening - Sleepover (3pm–10pm)

Mondays:

Morning

Daytime

Evening - Sleepover

Tuesdays:

Morning

Daytime

Evening - Sleepover

Wednesdays:

Morning

Daytime

Evening - Sleepover

Thursdays:

Morning

Daytime

Evening - Sleepover

Fridays:

Morning

Daytime

Evening - Sleepover

Saturdays:

Morning

Daytime

Evening - Sleepover

Sundays:

Morning

Daytime

Evening - Sleepover

Will these availabilities remain the same for the next 6 months?

Yes

No

Gellibrand operates throughout the Western suburbs of Melbourne.

Please check any locations that you do not wish to work at:

City of Brimbank

City of Darebin

City of Hume

City of Hobsons Bay

City of Maribyrnong

City of Melbourne

City of Melton

City of Wyndham

Do you have a driver's license?

Yes

No

If so, what classification of license is it?

Learners

Probationary (Red)

Probationary (Green)

International

Full

Are you an Australian citizen?

Yes

No

If you are not an Australian citizen, what type of Visa do you have?

Permanent

Student

Temporary

Spousal

Work/Holiday

Other (please specify)

If you are not an Australian citizen, do you have a work permit?

Yes

No

If so, when does it expire?

Do you have a current Workplace Level 2 First Aid Certificate?

Yes

No

If not, would you be willing to get one? (at your own expense)

Yes

No

If we offer you the position, when would you be able to start?

Are you currently employed elsewhere, or doing voluntary work?

If so, will this continue if you gain employment with us, and in what capacity?

In the last 10 years, have you resided continuously in an overseas country for 12 months or more?

Yes

No

If yes, you will be required to provide the relevant overseas criminal or police record check. In some extenuating cases, where this record is unobtainable, character reference checks may be conducted with at least two individuals who personally knew you while you were residing in the other country.